776 Perceived sleep control and nightmares distinguish college students with suicidal ideation from past attempters

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A302-A302
Author(s):  
Krishna Bodicherla ◽  
Andrew Tubbs ◽  
Fabian-Xosé Fernandez ◽  
Michael Perlis ◽  
Michael Grandner
Keyword(s):  
College Students ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Severity Index ◽  
Poor Sleep ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Short Sleep ◽  
History Of ◽  
Sleep Control

Abstract Introduction Suicidal ideation is common in college-aged students, but this is limited as a risk factor because ideation rarely leads to suicide attempts. Disrupted sleep increases suicide risk, but it is unclear whether this relationship applies equally to both ideators and attempters. Therefore, the present study explored four different sleep variables as discriminators between past suicidal ideation and a past suicide attempt. Methods Data from N=506 respondents were collected as part of the Assessing Nocturnal Sleep/Wake Effects on Risk of Suicide (ANSWERS) Survey in college students. The primary outcomes, lifetime history of suicidal ideation or a suicide attempt, were assessed using self-report questions derived from the Columbia Suicide Severity Rating Scale. Predictors were weekday short sleep (≤ 6h; from a retrospective sleep diary), Insomnia Severity Index (ISI) score, Brief Inventory of Sleep Control (BRISC) score, and Disturbing Dreams and Nightmares Severity Index (DDNSI) score. Binomial logistic regression models tested whether these predictors distinguished ideators from attempters. Models were unadjusted, adjusted for age, sex, race, and ethnicity, and additionally adjusted for thwarted belongingness or perceived burdensomeness from the Interpersonal Theory of Suicide. Results A total of N=182 (36%) respondents endorsed lifetime suicidal ideation, while N=61 (12%) reported a prior suicide attempt. Attempters tended to be slightly older (p=0.016), in worse health (p<0.001), and have more severe depression (p<0.001) and anxiety (p<0.001) than ideators. In unadjusted models, higher BRISC scores were associated with reduced odds of a suicide attempt (OR: 0.62 [0.42, 0.90]) while DDNSI scores of >=10 were associated with greater odds of a suicide attempt (OR: 4.24 [1.28, 4.24]). Adjusting for age, sex, race, ethnicity, thwarted belongingness, and perceived burdensomeness attenuated but did not eliminate these relationships. Short sleep and ISI scores did not distinguish ideators from attempters. Conclusion Perceived sleep control and severity of nightmares, but not insomnia or short sleep, distinguished individuals with a history of suicidal ideation from those with a history of a suicide attempt. However, longitudinal research is needed to determine if poor sleep control or nightmares are proximal predictors of a suicide attempt. Support (if any):

775 The Relationship Between Sleep and Suicidal Ideation in College Students

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A301-A302
Author(s):  
Krishna Taneja ◽  
Andrew Tubbs ◽  
Fabian-Xosé Fernandez ◽  
Michael Perlis ◽  
Michael Grandner
Keyword(s):  
College Students ◽  
Suicidal Ideation ◽  
Suicide Risk ◽  
Severity Index ◽  
Interpersonal Theory ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Interpersonal Theory Of Suicide ◽  
Short Sleep ◽  
Sleep Control

Abstract Introduction Suicide is the second-leading cause of death for young adults and insomnia increases suicide risk. However, the data on disrupted sleep and suicidal ideation in college students is mixed, including whether disrupted sleep fits into the framework of the Interpersonal Theory of Suicide. Therefore, the present study explored how four different sleep variables influenced recent suicidal ideation in a collegiate sample. Methods Data from N=506 respondents were collected as part of the Assessing Nocturnal Sleep/Wake Effects on Risk of Suicide (ANSWERS) Survey in college students. The primary outcome, active suicidal ideation in the last 3 months, was assessed using several self-report questions derived from the Columbia Suicide Severity Rating Scale. The predictors were weekday short sleep (≤6h; assessed by retrospective sleep diary), Insomnia Severity Index (ISI) score, Brief Inventory of Sleep Control (BRISC) score, and Disturbing Dreams and Nightmares Severity Index (DDNSI) score. Binomial logistic regression models estimated the associations between suicidal ideation and sleep variables in models that were unadjusted, adjusted for age, sex, race, and ethnicity, and additionally adjusted for thwarted belongingness or perceived burdensomeness (constructs from the Interpersonal Theory of Suicide). Results A total of N=121 (23.9%) respondents endorsed suicidal ideation in the last 3 months. Individuals with suicidal ideation were in poorer health (p<0.001) and had more severe depression (p<0.001) and anxiety (p<0.001). In unadjusted models, individuals were more likely to report suicidal ideation if they had short sleep (OR 1.93 [1.23–3.05]), ISI scores of 8 or more (OR 3.01 [1.94–4.74]), and DDNSI scores of 10 or more (OR 2.66 [1.69–4.19]). Higher BRISC scores were associated with lower odds of suicidal ideation (OR 0.53 [0.41–0.68]). Adjusting for age, sex, race, ethnicity, thwarted belongingness, and perceived burdensomeness attenuated but did not eliminate any of these relationships. Conclusion Insomnia, short sleep, nightmares, and less perceived sleep control were all associated with recent suicidal ideation in college students. Moreover, these findings were generally independent of the Interpersonal Theory of Suicide. Further research is needed to understand how sleep affects suicide risk in this population, and whether sleep interventions can reduce this risk. Support (if any):

777 Sleep and non-suicidal self-injury in college students

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A302-A303
Author(s):  
Sierra Hendershot ◽  
Andrew Tubbs ◽  
Fabian-Xosé Fernandez ◽  
Michael Perlis ◽  
Michael Grandner
Keyword(s):  
College Students ◽  
Suicide Risk ◽  
Severity Index ◽  
Interpersonal Theory ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Interpersonal Theory Of Suicide ◽  
Lower Odds ◽  
Short Sleep ◽  
Self Injury

Abstract Introduction Non-suicidal self-injury (NSSI) can increase suicide risk and is highly prevalent among young adults, including college students. While there is mounting evidence that disrupted sleep increases suicide risk, it is unclear how sleep influences NSSIs. Therefore, the present study explored how sleep variables were associated with NSSIs in a college sample. Methods Data from N=506 respondents were collected as part of the Assessing Nocturnal Sleep/Wake Effects on Risk of Suicide (ANSWERS) Survey of college students. The primary outcome, lifetime NSSI, was assessed using a self-report question derived from the Columbia Suicide Severity Rating Scale. The predictors were weekday short sleep (≤ 6h; assessed by retrospective sleep diary), Insomnia Severity Index (ISI) score, Brief Inventory of Sleep Control (BRISC) score, and Disturbing Dreams and Nightmares Severity Index (DDNSI) score. Binomial logistic regression models estimated the associations between NSSI and sleep variables in models that were unadjusted, adjusted for age, sex, race, and ethnicity, and additionally adjusted for thwarted belongingness or perceived burdensomeness from the Interpersonal Theory of Suicide. Results A total of N=142 (28.1%) respondents endorsed lifetime non-suicidal self-injury. Individuals with NSSI were more likely to be female (p=0.015), in poorer health (p<0.001), and have more severe depression (p<0.001) and anxiety (p<0.001) than those without NSSI. In unadjusted models, higher BRISC scores were associated with lower odds of NSSI (OR 0.55 [0.43–0.71]), DDNSI scores of >=10 increased the odds of NSSI (OR 2.65 [1.70–4.11], and ISI scores of >=8 increased the odds of NSSI (OR 2.05 [1.38–3.08]), while short sleep was not associated with NSSI. Adjusting for age, sex, race, ethnicity, and thwarted belongingness did not eliminate any of these relationships but adjusting for perceived burdensomeness rendered the association between insomnia and NSSI non-significant. Conclusion Individuals with significant insomnia symptoms or nightmares were more likely to report a history of NSSI, while individuals with greater perceived control of sleep had lower odds of NSSI. These findings were generally independent of the Interpersonal Theory of Suicide. Further research is needed regarding the timing of NSSI (i.e., do they occur more often during nocturnal wakefulness) and whether sleep interventions can reduce the risk of NSSI. Support (if any):

Relationship of Self-Compassion, Hope, and Emotional Control to Perceived Burdensomeness, Thwarted Belongingness, and Suicidal Ideation

Crisis ◽  
2020 ◽  
pp. 1-7
Author(s):  
Laura R. Umphrey ◽  
John C. Sherblom ◽  
Paulina Swiatkowski
Keyword(s):  
College Students ◽  
Suicidal Ideation ◽  
Emotional Control ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Cross Sectional ◽  
Self Compassion ◽  
Positive Feelings ◽  
Cross Sectional Design ◽  
Relationship Of

Abstract. Background: Cultivating positive feelings of self in relationships with others can affect perceptions of belongingness and burdensomeness. Aims: The present study examines the relationships of self-compassion, hope, and emotional control to thwarted belongingness, perceived burdensomeness, and suicidal ideation. Method: Participants were 481 college students who completed scales measuring self-compassion, hope, emotional control, thwarted belongingness, perceived burdensomeness, and suicidal ideation. Results: Correlation and parallel mediation analysis results show relationships between self-compassion, hope, and emotional control with perceived burdensomeness, thwarted belongingness, and suicidal ideation. Limitations: The study is limited by its cross-sectional design, sample demographics, and inability to distinguish between individuals with suicidal ideation and those who attempt suicide. Conclusion: The results show that the relationships of self-compassion, hope, and emotional control to perceived burdensomeness, thwarted belongingness, and suicidal ideation are worth further investigation.

scholarly journals Role of thwarted belongingness and perceived burdensomeness in the relationship between violent daydreaming and suicidal ideation in two adult samples

2018 ◽  
Vol 10 (1) ◽  
pp. 11-23 ◽  
Author(s):  
Carol Chu ◽  
Megan L. Rogers ◽  
Anna R. Gai ◽  
Thomas E. Joiner
Keyword(s):  
Suicidal Ideation ◽  
Self Report ◽  
Interpersonal Theory ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Negative Attitudes ◽  
Content Type ◽  
Two Samples ◽  
History Of ◽  
The Relationship

Purpose Despite evidence that violent daydreaming is a correlate of suicidal ideation, no research has examined the mechanisms underlying this association. The interpersonal theory of suicide may provide insight. This theory postulates that individuals with high suicidal desire experience intractable feelings of perceived burdensomeness (PB) and thwarted belongingness (TB). Violent daydreaming may fuel negative attitudes toward others and oneself and turn attention away from loved ones, thereby increasing feelings that one is a burden on others (PB) and socially disconnected (TB). However, no studies have tested TB and PB as explanatory mechanisms. The purpose of this paper is to examine the relationships between violent daydreaming, PB, TB, suicidal ideation, and depression in two samples (n=818). Design/methodology/approach Study 1 was comprised of general undergraduates, and Study 2 selected for undergraduates with a history of ideation. Self-report measures were administered and indirect effects analyses were conducted. Findings In both studies, violent daydreaming was associated with increased feelings of PB, TB, and ideation severity. Consistent with the interpersonal theory, TB and PB were significant parallel mediators of the relationship between violent daydreaming and suicidal ideation, beyond sex and age. In contrast to Study 1, results were no longer significant in Study 2 after accounting for depression. Originality/value This was the first study to test TB and PB as mechanisms underlying the relationship between violent daydreaming and suicide risk. Findings highlight the importance of monitoring and addressing violent daydreams and interpersonal functioning throughout treatment to mitigate risk.

scholarly journals Dating Violence Victimization, Interpersonal Needs, and Suicidal Ideation Among College Students

Crisis ◽  
2016 ◽  
Vol 37 (1) ◽  
pp. 51-58 ◽  
Author(s):  
Caitlin Wolford-Clevenger ◽  
JoAnna Elmquist ◽  
Meagan Brem ◽  
Heather Zapor ◽  
Gregory L. Stuart
Keyword(s):  
College Students ◽  
Suicidal Ideation ◽  
Dating Violence ◽  
Psychological Theory ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Cross Sectional ◽  
Interpersonal Needs ◽  
Interpersonal Psychological Theory ◽  
The Relationship

Abstract. Background: Victims of dating violence experience suicidal ideation at a higher rate than the general population. However, very few studies have examined the relationship between dating violence and suicidal ideation within an empirically supported theory of suicide. The interpersonal-psychological theory of suicide posits that thwarted interpersonal needs (i.e., thwarted belongingness and perceived burdensomeness) are proximal antecedents to suicidal ideation. The experience of dating violence may thwart such interpersonal needs, thus increasing risk for suicidal ideation. Aims: We aimed to examine the relationships among dating violence, thwarted interpersonal needs, and suicidal ideation and test the interpersonal-psychological theory of suicide. Method: We conducted two cross-sectional studies on college students in dating relationships to examine these research questions. Results: Study 1 indicated positive correlations among dating violence (i.e., physical and psychological), thwarted belongingness, and perceived burdensomeness. Study 2 generally replicated the bivariate relationships of Study 1 and demonstrated that, at high levels of thwarted belongingness, perceived burdensomeness was correlated with suicidal ideation, while accounting for the effects of depressive symptoms and drug use. Conclusion: These results highlight the importance of using theory-guided research to understand the relationship between dating violence and suicidal ideation.

Risk Factors and Mediators of Suicidal Ideation Among Korean Adolescents

Crisis ◽  
2018 ◽  
Vol 39 (1) ◽  
pp. 4-12 ◽  
Author(s):  
Yi Jin Kim ◽  
Sung Seek Moon ◽  
Jang Hyun Lee ◽  
Joon Kyung Kim
Keyword(s):  
High School Students ◽  
Suicidal Ideation ◽  
Structural Equation ◽  
Equation Modeling ◽  
Outcome Variable ◽  
Suicidal Behaviors ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Korean Adolescents ◽  
Related Stress

Abstract. Background: A significant number of Korean adolescents have suicidal ideations and it is more prevalent among adolescents than any other age group in Korea. Aims: This study was conducted to attain a better understanding of the contributing factors to suicidal ideation among Korean adolescents. Method: We recruited 569 high school students in Grades 10 and 11 in Pyeongtaek, Korea. The Beck Scale for Suicidal Ideation was used to measure suicidal ideation as the outcome variable. The Interpersonal Needs Questionnaire, the Beck Hopelessness Scale, the School Related Stress Scale, the Olweus Bully/Victim Questionnaire, and the Youth Risk Behavior Surveillance questions were used to measure thwarted belongingness and perceived burdensomeness, hopelessness, school-related stress, bullying, and previous suicidal behaviors, respectively. Data analyses included descriptive statistics and structural equation modeling. Results: The findings suggest that perceived burdensomeness, hopelessness, school-related stress, and previous suicidal behaviors have significant direct effects on suicidal ideation. Hopelessness fully mediated the relation between thwarted belongingness and suicidal ideation, and partially mediated between perceived burdensomeness, school-related stress, and suicidal ideation. Conclusion: These findings provide more specific directions for a multidimensional suicide prevention program in order to be successful in reducing suicide rates among Korean adolescents.

Trauma-Related Shame, Sexual Assault Severity, Thwarted Belongingness, and Perceived Burdensomeness Among Female Undergraduate Survivors of Sexual Assault

Crisis ◽  
2019 ◽  
Vol 40 (2) ◽  
pp. 134-140 ◽  
Author(s):  
Christopher R. DeCou ◽  
Stephanie P. Kaplan ◽  
Julie Spencer ◽  
Shannon M. Lynch
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Sexual Assault ◽  
Self Report ◽  
Psychosocial Risk ◽  
Thwarted Belongingness ◽  
Female Undergraduate ◽  
Perceived Burdensomeness ◽  
Cross Sectional ◽  
And Behavior

Abstract. Background and Aim: This study evaluated trauma-related shame as a mediator of the association between sexual assault severity and perceived burdensomeness and thwarted belongingness. Method: A total of 164 female undergraduates who reported attempted or completed sexual assault completed self-report measures of sexual assault, trauma-related shame, perceived burdensomeness, and thwarted belongingness. Results: Using path analysis, trauma-related shame mediated the association between sexual assault severity and perceived burdensomeness, and between sexual assault severity and thwarted belongingness. Limitations: The findings of this study are limited by the retrospective, self-report, and cross-sectional nature of these data, and do not allow for causal inference. Conclusion: Trauma-related shame warrants additional investigation as a mechanism that explains the association between sexual assault and psychosocial risk factors for suicidal ideation and behavior.

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